Provider Demographics
NPI:1508009085
Name:MARILYN G. MASCHGAN LTD
Entity Type:Organization
Organization Name:MARILYN G. MASCHGAN LTD
Other - Org Name:VEGAS VALLEY HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-732-3800
Mailing Address - Street 1:301 N PECOS RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1349
Mailing Address - Country:US
Mailing Address - Phone:702-732-3800
Mailing Address - Fax:702-732-4747
Practice Address - Street 1:301 N PECOS RD
Practice Address - Street 2:SUITE G
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1349
Practice Address - Country:US
Practice Address - Phone:702-732-3800
Practice Address - Fax:702-732-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-17231H00000X
NV#8237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BT744AMedicare PIN